Structural Restoration Therapy

What is Structural Restoration?

  • Structural Restoration (SR) is an integrated approach to orthopedic mobilization and massage therapy.
  • An SR session is a 30 min/45 min hands-on session that helps to restore movement proficiency and promotes a healing environment for the body and mind.

How is Structural Restoration Therapy (SRT) conducted at Prana Physiotherapy?

  1. Assessment: A physiotherapist uses clinical reasoning to understand and identify individual needs.
  2. Plan: The physiotherapist formulates a treatment plan comprising of different hands-on  techniques.
  3. Evidence based treatment: The SR therapist then delivers a series of clinically informed hands-on sessions.

Some of the reasons why people come to see us

To restore body’s equilibrium.
(Q: I'm in a constant fight or flight state, why?)
Repeated exposure to stressful environment forces the sympathetic nervous system to be in constant overdrive.

 Facts : The body’s homeostasis (equilibrium) is regulated by two branches of the autonomic nervous system:

  • The sympathetic nervous system which is responsible for the “fight and flight” response.
  • The parasympathetic nervous systems that governs the rest and rejuvenation mode.

How can Structural Restoration help you?

SR stimulates the parasympathetic branch of the nervous system by working systematically from superficial layers to the deeper layers. This process helps to de-threaten the nervous system and inhibits the sympathetic drive.


  • Decreasing heart rate.
  • Decreasing perceived fatigue.
  • Reduction in frequency of chronic symptoms, such as tension headaches and migraines.
  • Helps to restore dysfunctional breathing patterns by reducing structural restrictions.
  • Helps manage painful conditions.
  • Decrease anxiety and stress.

Enhancing Mobility and Movement.

(Q: I often get muscle strains and sprains easily, Why?) 

  • Sudden overload or repetitive stress traumas causes accumulation of micro traumas.

-  These micro traumas lead to soft tissue maladaptive patterns and joint restrictions.

  • The body then compensates to accommodate these changes.
  • Injury may occur due to compensations or maladaptive patterns.

Facts :

  • The soft tissue and Myofascial structures (muscle and fibrous connective tissue ) permeate the whole body from head to toes.
  • These structures are exposed to dynamic forces.
  • A healthy body maintains this delicate balance by distributing the tensional and compressional forces through the whole myofascial web.

How can Structural Restoration help?

SR aims to restore these compensations by increasing glide ability of soft tissue structures and increasing joint space through orthopedic mobilization. Although the tissues changes are for a short period of time.


- Reducing hyper sensitive trigger points (painful muscular spots).

- Reduces muscle spasm in people with persistent lower back pain.

- Lengthens chronically shortened muscle.

- Relieves compression and stress on joints.

- Creates joint space through orthopedic mobilization.

- Creates a window of opportunity to make tissue changes through exercise.

Recovery after High intensity workout!

Do you often feel sore from your last HIT workout? Why?

  • After a good workout most people feel sore and stiff, which is called the delayed onset of muscular fatigue (DOMS) !
  • It is a natural response of the body after a good workout.
  • However, some people do not recover enough before the next dose of exercise.
  • This delayed recovery may hinder optimal performance and training opportunities.

Facts : Soft tissue mobilization is most effective in reducing DOMS as compared to other modalities such as stretching, anti-inflammatory interventions - cryotherapy or cold water immersion, active recovery and compression garments. (Dupuy, O. et al (2018).

How can Structural Restoration help?

SR helps  you to recover quicker by reducing muscle damage and inflammation. This is done through an increase in tissue profusion, lymphatic drainage and desensitization.


  • Decreasing perceived pain
  • Decreasing exercise-induced muscle damage
  • Decreasing inflammation
  • Increasing lymphatic drainage
  • Increasing tissue profusion
  • Facilitating readiness for undertaking further physical activity 

How does Prana Physiotherapy differ from others in helping you? 

Prana Physiotherapy adopts an integrated and holistic approach to Structural Restoration by identifying individuals needs and then using clinical reasoning to design and deliver specific treatment techniques for the individual. We would not use any pre-conceptualized treatment that is generic and non therapeutic at best. 

Techniques used by our Structural Restoration therapist: 

  • Mobilization with movement - to improve joint range of motion, increase joint space. (The orthopedic techniques are used only by a qualified Physiotherapist.)
  • Myofascial release therapy - working on the fascial system, for neuromodulation, desensitization and release of soft tissue restrictions.
  • Myofascial trigger point therapy - releases painful knots within muscles.
  • Swedish Massage - Working On superficial layers for tissue perfusion or deeper layers to release stiffness. Or can be simply done for Neural priming.